DR. Michael Joseph Bannon, OD

NPI #1124645585 in Watertown, Wisconsin

Provider Information

NPI Number
1124645585
Entity Type
Individual
Name
DR. Michael Joseph Bannon, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jul 1, 2020
Last Updated
Jul 1, 2020

Practice Location

Address
1500 S CHURCH ST
ZIP Code
53094-6404
Phone
(920) 261-9225

Specialties & Taxonomy Codes

Specialty
Optometrist

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